Reimbursement and Practice Management
On April 14, 2015, Congress repealed the sustainable growth rate (SGR) formula. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) permanently eliminates SGR and provides positive annual payment updates lasting through 2019. Since MACRA significantly changes the way Medicare pays physicians, we have developed a MACRA Resource Page to help educate neurosurgeons about this topic. In addition to our efforts on MACRA, the Coding and Reimbursement Committee is actively involved in bringing or reviewing new or revised CPT codes, is a strong advocate for appropriate valuation of neurosurgical services and neurosurgery’s Rapid Response Team works tirelessly to ensure that third party payors cover necessary neurosurgical services.
Key Resources
Letters
Published: August 23, 2016
Dear Acting Administrator Slavitt: The undersigned national medical organizations strongly recommend that the Centers for Medicare andMedicaid Services (CMS) restore the Refinement Panel to serve as the relative value appeals […]
Article
Re: RIN 2900–AP44-Advanced Practice Registered Nurses; Proposed Rule (May 25, 2016) The undersigned physician organizations representing national specialty and state medical societies arewriting to provide comments on the Veterans Health […]
Letters
Dear Senators: The Alliance of Specialty Medicine (the “Alliance”) represents more than 100,000specialty physicians from 13 specialty and subspecialty societies. The Alliance is deeplycommitted to improving access to specialty medical […]
Article
Neurosurgeons Join Alliance of Specialty Medicine in Expressing Serious ConcernsAbout Medicare’s New Physician Quality Payment ProgramUrge Senate Finance Committee to Press CMS to Make Substantial Changes Before Finalizing Payment Overhaul […]
Article
Chairman Hatch, Ranking Member Wyden, and members of the Committee, the Alliance of SpecialtyMedicine (the Alliance) would like to thank the Senate Committee on Finance for the opportunity toprovide feedback […]
Article
Neurosurgeons Express Serious Concerns with Medicare Physician Payment RulesUrge CMS to Make Substantial Changes Before Finalizing Payment Overhaul Washington, DC—Today, the American Association of Neurological Surgeons (AANS) and Congress of […]
Letters
Re: CMS-5517-P – Medicare Program; Merit-Based Incentive Payment System (MIPS) andAlternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria forPhysician-Focused Payment Models Dear Mr. Slavitt: The undersigned […]
Letters
RE: Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative PaymentModel Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused PaymentModels Dear Acting Administrator Slavitt: The Alliance of Specialty […]
Letters
Subject: Medicare Program; Merit-Based Incentive Payment System (MIPS) and AlternativePayment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for PhysicianFocused Payment Models (CMS-5517-P) Dear Administrator Slavitt: The Council […]
Letters
Subject: Medicare Program; Merit-Based Incentive Payment System (MIPS) andAlternative Payment Model (APM) Incentive Under the Physician Fee Schedule,and Criteria for Physician-Focused Payment Models (CMS-5517-P) Dear Administrator Slavitt: On behalf of […]
Letters
Re: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM)Incentive Under the Physician Fee Schedule, and Criteria for Physician-Focused PaymentModels; Proposed Rule (CMS-5517-P) Dear Acting Administrator Slavitt: On behalf […]
Letters
Dear Dr. DeSalvo and Acting Administrator Slavitt: The undersigned medical societies are writing in response to your request for information (RFI) assessinginteroperability for the Medicare Access and CHIP Reauthorization Act […]
Letters
Re: AANS/CNS Comments on Draft Technical Assessment for Washington State HTA Rereview of Lumbar Spinal Fusion Dear Mr. Morse: On behalf of the American Association of Neurological Surgeons (AANS), the […]
Letters
Re: National Coverage Analysis (NCA) for Percutaneous Image-guided LumbarDecompression for Lumbar Spinal Stenosis (CAG-00433R) Dear Ms. Jensen, On behalf of the American Association of Neurological Surgeons (AANS), the Congress of […]
Letters
Published: April 19, 2016
Statement of the Alliance of Specialty Medicine on MACRA Implementationbefore theSubcommittee on Health of the Committee on Energy and Commerceof the U.S. House of RepresentativesTuesday, April 19, 2016 The Alliance […]
Letters
Published: April 18, 2016
Dear Acting Administrator Slavitt: With the upcoming release of the proposed rule regarding implementation of the MedicareAccess and CHIP Reauthorization Act (MACRA), we are writing to ensure that activities in […]
Letters
Published: March 15, 2016
Dear Mr. Dodaro: The undersigned Members of Congress write to express our support for the appointment of aspecialty physician, particularly a surgeon, for a position on the Medicare Payment AdvisoryCommission […]
Article
Published: February 15, 2016
CMS Publishes Final 2016 Medicare Payment Schedules On Nov. 16, 2015, the Centers for Medicare & Medicaid Services (CMS) released two separate Medicarepayment rules that will impact physician reimbursement and […]
Letters
Published: December 29, 2015
Re: CMS-1631-FC Medicare Program; Payment Policies Under the Medicare PhysicianFee Schedule (MPFS) and Other Revisions to Part B for CY 2016 Final Rule Dear Mr. Slavitt: On behalf the American […]
Letters
Published: December 29, 2015
Re: CMS-1631-FC Medicare Program; Payment Policies Under the Medicare PhysicianFee Schedule (MPFS) and Other Revisions to Part B for CY 2016 Final Rule Dear Mr. Slavitt: On behalf of 4,000 […]
Letters
Published: December 18, 2015
Josiah Morse, MPHProgram DirectorWashington State Healthcare AuthorityHealth Technology Assessment ProgramP.O. Box 42712Olympia, WA 98504-2712 SUBJECT: Non-coverage Decision for Washington State HTA Re-review of LumbarSpinal Fusion for Degenerative Disc Disease: 20151120A […]
Letters
Published: December 3, 2015
Dear Representative Holding: The undersigned surgical organizations would like to thank you for your leadership inintroducing H.R. 2568, the Fair Medical Audits Act of 2015. This legislation would providemuch needed […]
Letters
Published: November 17, 2015
Dear Acting Administrator Slavitt: Thank you for the opportunity to provide input to the Request for Information (RFI) regarding theimplementation of Alternative Payment Models (APMs) and Merit-Based Incentive Programs (MIPS)under […]
Letters
Published: November 17, 2015
Andrew M. SlavittActing Administrator, Centers for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-3321-NCSubmitted electronically via http://www.regulations.gov RE: Request for Information Regarding Implementation of the Merit-Based Incentive PaymentSystem, […]
Letters
Published: November 2, 2015
Dear Leader McConnell and Senator Reid: On behalf of the undersigned state and national medical specialty organizations, we are writingto express our strong concerns with the decision by the Administration […]